Tañan, Bernardo .

HRN: 18-88-30  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/11/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
06/11/2024
06/11/2024
IVTT
4.5g
Stat Dose
Sepsis
Waiting Final Action 
06/11/2024
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
06/11/2024
06/17/2024
IVTT
2.25 G
Q12
Sepsis (renal Dose)
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: